Digital Commons Network^™

Bilateral Pulmonary Emboli Requiring Emergent Thrombectomy In A Pediatric Patient, George C. Michalopoulos Md, Viktoriya Bikeyeva Md, Joseph Adams Do, Andrii Labchuk Md, Giovanni Paollela Md, Nishant Patel Md, Adib Chaus Md

Scientific Day

Introduction/Background:

Pediatric Pulmonary Emboli (PE) are rare but have a high mortality rate. Evidence based guidelines for PE management in children are limited, and most recommendations stem from adult populations. Decisions regarding pursuing systemic thrombolysis, surgical embolectomy, catheter-based interventions, or medical management are often made on a case-by-case basis by a multidisciplinary team after careful consideration of the risks and benefits. We present a case of a 17-year-old female who was successfully treated with mechanical thrombectomy for bilateral PE after recent initiation of oral contraceptives.

Description:

Patient presented to the ED with dyspnea. Vital signs showed tachycardia, hypoxia, and hypotension. …

The Unobstructed Infarct: Minoca At The Intersection Of Hormones And Amphetamines, Garrett Weber Do, Patrick Disterhaft Do, Adam Pampori Md, Blair Tilkens Do, M Fuad Jan Md

Scientific Day

Background/Significance:

Myocardial infarction with non-obstructive coronary arteries (MINOCA) represents approximately 6– 8% of all myocardial infarctions and is more common in younger patients and women.

Description:

A 20-year-old woman taking adderall and combined oral contraceptives presented with her second episode of sudden-onset central chest pain at rest. Troponin was elevated, and EKG showed nonspecific ST-T wave changes. Transthoracic echocardiogram demonstrated an ejection fraction of 63% with a small area of hypokinesis in the mid-anterolateral and inferolateral walls. Cardiac MRI suggested a recent myocardial infarction in a diagonal branch territory with active inflammation. Left heart catheterization revealed normal coronary arteries. She …

From Chronic Constipation To Abdominal Compartment Syndrome: A Pediatric Gi Perspective, Umar Aker Do, Paula Gamero Kubota Md, Tiffany Patton Md

Scientific Day

Background/Significance:

Chronic constipation is one of the most common pediatric complaints and accounts for 1/4 of pediatric GI consults. It affects approximately 12-18% of individuals between 0 to 18 years of age. Although outcomes are generally positive with appropriate management including dietary changes, laxatives, and medications such as linaclotide, undiagnosed or inadequately treated constipation could have detrimental results. Abdominal compartment syndrome (ACS) due to fecal impaction is a considerably rare complication of constipation. We present the exceptional case of an adolescent who developed ACS secondary to severe constipation and required prolonged intensive care admission.

Description:

A 17-year-old male with a …

Closing The Hole Before Clearing The Clot: A Staged Approach To Pe With Large Pfo, Giovanni Paolella Md, Christopher Bentsen Md, George Kalapurakal Do, Andrii Labchuk Md, Joseph Adams Do, Neal Sawlani Md, Nishant Patel Md, Adib Chaus Md

Scientific Day

Introduction/Background:

Management of intermediate- to high-risk pulmonary embolism (PE) is complex when intracardiac shunting is present. A patent foramen ovale (PFO) increases the risk of paradoxical embolization and complicates decisions regarding thrombolysis, thrombectomy, and timing of definitive intervention. Limited guidance exists on optimal sequencing of therapies in patients with recurrent PE, right ventricular (RV) strain, and suspected malignancy. We present a case highlighting multidisciplinary management of submassive PE with large PFO requiring staged intervention.

Description:

A 65-year-old female with hypertension, chronic kidney disease, heart failure with preserved ejection fraction, and obesity presented with progressive dyspnea and presyncope. Imaging demonstrated a …

The Price Of A Pause: Pe In A High-Risk Surgical Patient, Alexander Ellyin Md, Giovanni Paolella Md, Viktoriya Bikeyeva Md, Christopher Bentsen Md, George C. Michalopoulos Md, Danny Cho Do, Joseph Adams Do, Andrii Labchuk Md, Adib Chaus Md, Parag Patel Do

Scientific Day

Introduction/Background:

Acromegaly is an endocrine disorder characterized by excess growth hormone secretion, typically from a pituitary adenoma, resulting in elevated insulin-like growth factor 1. It is associated with several cardiovascular complications, including hypertension, cardiomyopathy, and arrhythmias. While less commonly recognized, a prothrombotic state may also exist, possibly due to increased thrombin generation and elevated fibrinogen and factor VIII levels. Literature on the risk of venous thromboembolism (VTE) in acromegaly remains sparse, and documented cases of pulmonary embolism (PE) in this population are rare. This case highlights a massive PE in a patient with acromegaly and prior VTE following brief perioperative …

The Node Knows: Histopathology As The Key To Fever Of Unknown Origin In An Adolescent, Annette Mathew Do, Dana Nezon Md, Shalini Vootkur Md, Melissa Tesher Md

Scientific Day

Introduction/Background:

Fever of unknown origin (FUO) is a common pediatric presentation with a broad infectious and noninfectious differential. Histiocytic necrotizing lymphadenitis (HNL), also known as Kikuchi-Fujimoto disease (KFD), is a rare, self-limited condition characterized by prolonged fever and cervical lymphadenopathy. Diagnosis is often delayed due to nonspecific findings, with definitive confirmation requiring histopathologic evaluation. We describe a case of FUO and cervical lymphadenopathy ultimately diagnosed as HNL.

Description:

A 14-year-old female presented with one month of neck pain, tender cervical lymphadenopathy, and fevers. Initial outpatient treatment with amoxicillin-clavulanate did not result in improvement. Reevaluation demonstrated leukopenia and neutropenia, prompting hospital …

Congenital Extrahepatic Portosystemic Shunt As A Possible Cause Of Chronic Encephalopathy, Jared Muench Md, Luke Falesch Md, William Macdonald Md

Scientific Day

Introduction/Background:

Congenital extrahepatic portosystemic shunt, also termed Abernethy malformation, refers to abnormal drainage of the portal circulation into a systemic vein (e.g., inferior vena cava). Abernethy malformation remains a rare entity, with only a few hundred cases reported in the literature. Among many associated congenital malformations and acquired complications of Abernethy malformation, chronic encephalopathy may also develop as portal venous blood bypasses the liver and certain metabolites, namely ammonia, escape filtration. Vascular abnormalities are not often considered in the evaluation of chronic encephalopathy. However, we present here the case of a 31-year-old patient found to have Abernethy malformation and discuss …

A Rare Complication Of Gallstone Pancreatitis: Cholecystocolonic Fistula, Gregory Capelli Do, Adil Ghafoor Md, Nalini Guda Md, Facg

Scientific Day

Introduction/Background:

Cholecystocolonic fistulas are rare, occurring in less than 0.5% of patients undergoing cholecystectomy. However, when they do develop, they can lead to complications such as colonic perforation, gallstone ileus, and infection. Here, we present a case of a patient who developed a cholecystocolonic fistula alongside gallstone-induced pancreatitis.

Description:

An 81-year-old woman with a history of hyperlipidemia and hypertension presented to the emergency department with acute onset abdominal pain. Laboratory results revealed a total bilirubin of 1.0 mg/dL, AST of 103 U/L, ALT of 119 U/L, ALP of 880 U/L, lipase of 6,421 U/L, and a WBC count of 11.8 …

The Picture Tells The Story: Multimodality Imaging Unmasks Dedifferentiated Liposarcoma, Hassan Rizvi Md, Gerald P. Smith Md, William Macdonald Md

Scientific Day

Introduction/Background:

Lipomatous tumors span a spectrum from benign lipoma to atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDL) and dedifferentiated liposarcoma (DDLPS), with significant radiologic overlap. Because DDLPS carries higher morbidity and may coexist with additional malignancies, early recognition of malignant imaging features is essential. This case highlights the critical role of CT and MRI in distinguishing malignant from benign adipocytic tumors and in identifying dedifferentiation within a long-standing extremity mass.

Description:

A 77-year-old man presented with a posterior–medial thigh mass that had enlarged slowly over ~20 years before accelerating with new distal swelling. CT showed a 37-cm predominantly lipomatous mass with thick …

Tumor-Induced Osteomalacia: A Case Report And Literature Review, Andrew Cecil Do, Meti Shagi Md, Syed Basit Haider Md, Syed Ali Gardezi Md

Scientific Day

Background/Significance:

Tumor-induced osteomalacia (TIO) is an ultra-rare paraneoplastic syndrome caused by excessive fibroblast growth factor 23 (FGF23) secretion from phosphaturic mesenchymal tumors, resulting in hypophosphatemia and osteomalacia. Diagnosis is frequently delayed due to nonspecific symptoms and difficulty localizing small tumors.

Description:

A 55-year-old male presented with 16 months of progressive muscle weakness, multiple bilateral metatarsal fractures, and chronic bone pain. Laboratory evaluation revealed profound hypophosphatemia (1.6 mg/dL), markedly elevated FGF23 (455 RU/mL), and evidence of renal phosphate wasting (TRP 35%, TmP/GFR 1.04 mg/dL). Initial FDG-PET/CT was non-localizing. Upon referral, specialized re-interpretation at a tertiary referral center identified faint focal uptake …

An Unusual Culprit: Right Coronary Artery Aneurysm And Coronary Sinus Fistula Presenting As Acute Heart Failure, Emmanuel Olumuyide Md, Alfredo Toll Md

Scientific Day

Background/Significance:

Coronary artery aneurysms associated with coronary fistulae are rare and may cause shunt physiology, ischemia, and heart failure. Multimodality imaging and invasive hemodynamics are essential for diagnosis and management planning.

Description:

A 78-year-old man with hypertension and hyperlipidemia presented with new-onset decompensated heart failure. Transthoracic echocardiography revealed severe biventricular dysfunction (LVEF 10%) with severe aortic and mitral regurgitation. Coronary angiography demonstrated severe multivessel coronary artery disease and a markedly aneurysmal right coronary artery (RCA) with suspected fistulous communication. Right-heart catheterization revealed elevated filling pressures, a reduced cardiac index, and a right atrial oximetry step-up, indicating a left-to-right shunt. Coronary …

Lupus Turmoil - Rare Cardiac Manifestations Of Sle, Abhishek Gowda Do, Mph, Joaquin Solis Md, Anna Trier Md, Phd, Aijaz Noor Md

Scientific Day

Introduction/Background:

Cardiac involvement in systemic lupus erythematosus (SLE) has variable manifestations. Pericarditis is the most common cardiac manifestation (20%), whereas myocarditis is rare, occurring in approximately 1–2% of cases. Cardiac tamponade is also rare, but possible in lupus pericarditis. Heart failure develops in 2-3% of patients. While stress cardiomyopathy can occur, sustained heart failure with reduced ejection fraction (HFrEF) due to inflammatory myocarditis is uncommon.

Description:

A 40-year-old woman with SLE complicated by lupus nephritis induced end-stage renal disease had multiple admissions for renal failure and progressive cardiac decline. Chest x-ray initially showed new, sudden onset cardiomegaly. Transthoracic ECHO (TTE) …

Chiropractic Role In The Interdisciplinary Care Of A Patient With Low Back Pain Following Spinal Cord Infarction, Chloe Nilles Dc, Joseph Mehring Dc, Jessy Johnson Dc, Dacrb, Venkateswara Gogineni Phd, Eric Kirk Dc, Daco

Scientific Day

Introduction/Background:

Spinal cord infarction is a rare type of stroke that occurs within the spinal cord or the arteries that supply it. The etiology of spinal cord infarction is commonly a result of atherosclerosis and related complications. The outcome of this condition often results in severe disabilities and functional impairment. The focus of long-term management is on rehabilitation to optimize function and quality of life. This case report highlights how a chiropractor functioned within an interdisciplinary healthcare team to manage low back pain in a patient with a history of spinal cord infarction.

Description:

A 46-year-old male with a history …

A Multimodal Approach To Restoring Cervical Radiculopathy-Induced Dexterity Loss That Emphasizes The Role Of Chiropractic Care: A Case Report, Mya Reese Dc, Jeffrey Malone Dc, Jessy Johnson Dc, Dacrb, Venkateswara Gogineni Phd, Eric Kirk Dc, Daco

Scientific Day

Introduction/Background:

Cervical radiculopathy occurs when a spinal nerve root becomes mechanically compressed or chemically inflamed. This can cause an array of symptoms along the dermatomal distribution of the affected nerve including neck stiffness, pain in the shoulder, reduced range of motion, impaired deep tendon reflexes, upper extremity weakness, numbness, paresthesia, and loss of fine motor control. This case illustrates a collective approach among healthcare professionals to restore a patient's fine motor skills by treating cervical radiculopathy with chiropractic care.

Description:

A 59-year-old female patient presented with right shoulder pain associated with radiculopathy into her 2nd-4th digits. She endorsed weakness in …

Mystery Stalk: Thrombus Or Myxoma, Steven Jacobsen Do, Giovanni Paolella Md, Christopher Bentsen Md, Carson Discher Md, Rafia Ali Md, Andrii Labchuk Md, Kelsey Danley Md, Marianna Krive Md, Neal Salwani Md

Scientific Day

Introduction/Background:

Left atrial (LA) masses in patients with new onset atrial fibrillation (AF) are uncommon but clinically consequential findings. Differentiating between LA thrombus and myxoma is critical in determining proper management, which may include anticoagulation, cardioversion, and/or surgery. While cardiac magnetic resonance imaging (cMRI) is considered the gold standard for tissue characterization, overlap in imaging features may limit diagnostic certainty in select cases. This case highlights management options when the gold standard fails to provide a definitive diagnosis.

Description:

A 74-year-old woman with HFpEF presented with chest pain and dyspnea and was admitted with new onset atrial fibrillation with RVR. …

A Heart-Stopping Decision: An Ethical Dilemma Involving Pacemaker Deactivation At End Of Life, Hailee Grannan Md, Nora Badi Md, Kavita Sharma Md

Scientific Day

Introduction/Background:

Pacemaker deactivation at the end of life presents complex ethical and logistical challenges. While Heart Rhythm Society affirms a patient’s right to withdraw life-sustaining treatments, clinicians often experience moral distress when patients are pacemaker-dependent. Unlike defibrillators, pacemakers are perceived as integral to the body rather than external interventions, leading to concerns regarding hastening of death with pacemaker deactivation. In this case, we highlight how device manufacturer procedural requirements can also create obstacles to deactivation, resulting in unintended prolonged suffering and increased distress for the patient and family.

Description:

A 74-year-old male with metastatic renal cell carcinoma developed third-degree heart …

Increasing Utilization Of The Tyrer-Cuzick Score To Improve Breast Cancer Risk Assessment In Primary Care, Lindsay Sawyer Do, Megan Matre Md, Katharine Kelly Md, Lisa Sullivan-Vedder Md

Scientific Day

Background/Significance:

The Tyrer-Cuzick (T-C) score is a risk prediction tool used to provide a quantitative estimate of an individual's lifetime risk of developing breast cancer and can be used to guide screening practices. A high score may lead to recommendations for earlier breast imaging, lifestyle modifications, genetic testing, risk reducing medications or surgery. Given updated recommendations by professional organizations such as the American Academy of Breast Surgeons, Advocate Health developed Primary Care and Radiology workflow processes to attempt to standardize breast cancer risk assessment. Since initiating this workflow in July 2023, there has been a disproportionate number of patients screened …

Balancing Safety And Quality With End-Of-Life Realities: A Single Inpatient Hospice Facility Review, Hailee Grannan Md, Sarah Riutta Phd, Kavita Sharma Md

Scientific Day

Background/Significance:

Patient safety in hospice care requires balancing traditional safety metrics with individualized, comfort-focused goals at the end of life. Inpatient hospice units manage complex symptoms, high-risk medications, and dynamic family preferences, yet limited literature characterizing safety events in this setting. Despite routine event reporting, no comprehensive evaluation of safety incidents has been conducted at Zilber Family Hospice (ZFH).

Purpose:

The purpose of this project was to characterize and analyze patient safety incidents at ZFH to identify patterns, clarify event categorization, and inform hospice-specific safety practices and staff education that support comfort and harm reduction.

Methods:

Safety incidents at ZFH …

Age-Specific Patterns Of Chlamydia Screening And Positivity In The Absence Of Electronic Health Record Prompts: Variation By Specialty And Social Vulnerability, Madison Kob, John Brill Md, Mph

Scientific Day

Background/Significance:

Chlamydia trachomatis (CT) remains one of the most reported bacterial sexually transmitted infections in the United States, disproportionately affecting young women. National guidelines recommend annual screening of sexually active women under the age of 25 to reduce risks of pelvic inflammatory disease and comparable conditions. However, operationalizing risk-based screening within the Electronic Health Record (EHR) proves challenging when sexual activity is not comprehensively documented. During a period without active EHR prompts in Aurora St. Luke’s integrated health system, baseline CT screening patterns were evaluated to inform future workflow and quality initiatives.

Purpose:

To characterize age-specific CT screening and positivity …

Missed Opportunities: Sex Disparities In Dexa Screening Among Cancer Patients Receiving Hormonal Therapy, Faiz Hussain Md, Pooja Bhatt Md, Logan Daines Do, Magdalena Flejsierowicz Md, Dawn Wankowski Ms, James O. Adefisoye Phd

Scientific Day

Background/Significance:

Bone health complications are a well-recognized but often under-monitored consequence of androgen deprivation therapy (ADT) and aromatase inhibitor (AI) therapy, which accelerate bone mineral density loss and increase fracture risk. Despite guideline recommendations from NCCN and ASCO for baseline and periodic DEXA screening, adherence remains low across multiple real-world studies. However, institution-specific adherence patterns, particularly potential sex-based disparities remain poorly characterized.

Purpose:

To evaluate adherence to guideline-recommended DEXA screening and assess sex-based differences among patients with non-metastatic breast or prostate cancer receiving hormone therapy within Advocate Health Midwest Wisconsin locations.

Methods:

We conducted a retrospective review of patients diagnosed …

Connecting Unprofessional Behaviors To Trust: Medical Education Perspectives, Deborah Simpson Phd, Kristin Ouweneel Mba, Tricia La Fratta Mba, Jacob Bidwell Md, Wilhelm Lehmann Md, Mph, Nicole Salvo Md, William Macdonald Md, Kathryn Agard Cmp, Pmp, Esmeralda Santana C-Tagme, David Hamel Md, Kirtan Patel Do, Jessica O'Brien Md, Ed.M, Suzette S. Caudle Md, Leah N. Delfinado Md, Facog, Mscp, David M. Irby Mdiv, Phd

Scientific Day

Background/Significance:

Perceived unprofessional behavior (PUB) poses a significant challenge in medical education (ME), as research demonstrates its adverse impact on patient care, teamwork, and learning. But what if professionalism is reframed as trust consistent with ME’s entrusted professional activities (EPA)? Agreement on which behaviors adversely affect trust can provide educators with a different approach to illuminate PUB.

Purpose:

To develop and conduct a needs assessment to assess the degree to which selected professionalism-related behaviors are linked to trust.

Methods:

Key ME stakeholders (i.e., learners, faculty, ME leaders/staff) submitted brief, de-identified unprofessional behaviors that they had experienced/witnessed exhibited in practice. Behaviors …

Assessing Ventilator Education Needs In Ukrainian Intensive Care Units: Informing Future Training Initiatives, Laura Reindl Ms, Rrt-Accs, Rrt-Nps, Bernie Pagels Bsrt, Rrt-Accs, Rrt-Nps, Michael Shallcross Md, Vladyslav Dieiev Md, Msc

Scientific Day

Background/Significance:

Mechanical ventilation (MV) is lifesaving but requires consistent, evidence-based application to prevent patient harm. Despite international guidelines, global practice remains inconsistent, and skill gaps persist in areas such as waveform interpretation, patient–ventilator dyssynchrony, and ventilator liberation. In Ukraine, war-related system strain and variable access to standardized training may amplify gaps in MV practice.

Purpose:

To describe self-reported MV competence, perceived barriers, and preferred training formats among Ukrainian ICU clinicians to inform future MV education initiatives.

Methods:

We conducted a cross-sectional, anonymous web-based survey of clinicians caring for ventilated adults in Ukraine, distributed by the Ukrainian Society of Anesthesiology between …

Using Large Language Models To Evaluate The Inflammatory Bowel Disease Questionnaire (Ibdq), Olivia Foy Md, Yannis Lafazanos Do, Lukus Berber Md, Eli D. Ehrenpreis Md, Agaf, Facg

Scientific Day

Background/Significance:

The Inflammatory Bowel Disease Questionnaire (IBDQ), a 32-item survey published in 1989, evaluates health-related quality of life (QOL) in inflammatory bowel disease (IBD) across bowel, systemic, emotional, and social domains. Higher scores indicate better QOL. It remains widely used in clinical practice and trials. However, as therapies and patient expectations evolve, legacy instruments may not capture contemporary domains such as mental health burden, cultural factors, treatment complexity, extraintestinal manifestations, and cumulative therapy impact. Large language models (LLMs), increasingly used in clinical research, offer a systematic method to critique and refine patientreported outcome (PRO) tools. We aimed to determine whether …

A Quality Improvement Evaluation Of Sickle Cell Pain Crisis Management In Community Hospitals: Assessing Length Of Stay Data Across Inpatient Provider Groups, Stephen Smetana Do, Insia Rizvi Md, Magdalena Flejsierowicz Md, Dawn Wankowski Ms, James O. Adefisoye Phd

Scientific Day

Background/Significance:

Sickle cell disease (SCD) often results in vaso-occlusive pain crises (VOC), leading to recurrent emergency department visits and hospital admissions. American Society of Hematology (ASH) guidelines recommend rapid initiation of intravenous opioid therapy—within one hour of ED arrival— and standardized management pathways. Despite these recommendations, individuals with SCD remain under-recognized and under-treated in community hospitals. Practice variability may contribute to delayed analgesia, inconsistent patient-controlled analgesia (PCA) use, stigmatizing documentation, and prolonged hospital length of stay (LOS). Institutional review found inpatient VOC care processes and documentation as key targets for quality improvement.

Purpose:

To evaluate provider-group variation in LOS, PCA …

Evaluation Of The Adherence To Established Guidelines For Labor Arrest Disorders In Nulliparous, Term, Singleton, Vertex Cesarean Births, Laurel Pietrzak Do, Sarai Trenhs Do, Manuel Lamptey Ms, Jessica Jf Kram Mph, Callie Cox Bauer Do

Scientific Day

Background/Significance:

The Nulliparous, Term, Singleton, Vertex (NTSV) cesarean birth rate was developed as a quality metric to provide a standardized way of evaluating rates between hospitals with the aim of reducing primary cesarean rates. Currently, in the United States NTSV cesareans account for ~25.6% of births (national benchmark 23.6%). Labor arrest disorders, including failed induction of labor, arrest of cervical dilation, and arrest of fetal descent, account for ~18-35% of primary deliveries, making them one of the more common indications for NTSV cesareans. However, there has been limited evaluation of adherence to American College of Obstetricians and Gynecologists (ACOG) Safe …

Understanding Patient Experiences And Diagnostic Challenges In Long Covid Care, Raegan King Mph, Tiffany Ford Phd, Mph, Osondi Osondi-Lohrer Ms, Ccrp, Jana Hirschtick Phd, Mph

Scientific Day

Background/Significance:

Long COVID is characterized by persistent, heterogeneous symptoms that often lack timely recognition, contributing to delayed diagnosis and fragmented care. Understanding patient experiences with diagnosis and care pathways is critical to determining whether and how receiving a Long COVID diagnosis influences access to care, patient well-being, and perceptions of validation within the healthcare system. This study aimed to explore patient experiences with a Long COVID diagnosis and care navigation within the Advocate Health system, with a focus on identifying barriers to diagnostic equity and opportunities to improve clinical pathways.

Purpose:

The purpose of this study was to understand diagnostic …

Oncologic And Surgical Outcomes For A Novel Approach To Esophagectomy: A Retrospective Analysis At A Large Community Health System, Ruby Armstrong Bs, Kristen Kolberg Md, Dawn Wankowski Ms, Geoffrey Bellini Md, Wesley Papenfuss Md

Scientific Day

Background/Significance:

Esophagectomy is a cornerstone of esophageal cancer treatment. Open esophagectomy has potential for complications and difficult recovery. Transhiatal Endoscopic Esophageal Mobilization (TEEM) is a novel minimally invasive method of esophagectomy that decreases morbidity and length of procedure via a dual-team approach from the abdomen and neck.

Purpose:

The objective of this study was to evaluate the oncologic and perioperative outcomes of TEEM esophagectomy over a 10-year period.

Methods:

We retrospectively reviewed patients who underwent TEEM esophagectomy between January 1, 2015- December 31, 2024 at our institution using the STS database. Patients without esophageal cancer were excluded. Demographics, intraoperative data, …

Maternal Fever And Pprom Are Associated With Early Neonatal Illness Severity: A Composite Score Analysis In Nicu Admissions, Zoya Khan Do, Alexandra Wilson Md

Scientific Day

Background/Significance:

Maternal complications during delivery may predispose neonates to early clinical instability. Identifying specific maternal risk factors can help stratify neonatal risk and guide early postnatal care.

Purpose:

To assess the relationship between maternal complications and early neonatal illness severity using a composite clinical illness score.

Methods:

This retrospective cohort study included neonates admitted to a level IV NICU. Maternal factors analyzed included chorioamnionitis, fever, PPROM, preeclampsia, and intrapartum antibiotic exposure. Neonatal illness severity was defined using a 5-point composite score incorporating hypotension, need for hydrocortisone, elevated CRP, presence of multiple central lines, and ≥5 days of central line use. …

Population Health "Pop Spotting", Glenda Sundberg Fnp-Cs, Apnp, Zeeshan Yacoob Md, Mph, Stephenie Quirke Do, Devanshi Patel Do, Tien Vo Bs,Ba

Scientific Day

Background/Significance:

Various gaps persist across communities due to barriers that prevent patients from accessing their healthcare needs. Aurora St. Luke’s Family Practice Clinic, which serves a diverse and underserved population, developed an interdisciplinary outreach model called “Pop Spotting”

Purpose:

We aim to create a model that allows the clinic team to identify patients who have multiple care gaps and have been lost to follow up. By reaching out to these patients and scheduling visits, we hope to meet health care needs efficiently and improve patient outcomes.

Methods:

This project utilizes Population Health Indicator (PHI) scores to identify established clinic patients …

Comparison Of Dosing Strategies Of Levetiracetam For Seizure Prophylaxis In Patients With Traumatic Brain Injury, Aya Alwan Pharmd, Andrew Mcinerney Pharmd, Bcemp, Lina Piech Pharmd, Bcps, Bcccp

Scientific Day

Background/Significance:

Traumatic brain injury (TBI) affects around 1.7 million individuals annually in the United States and is associated with detrimental complications including seizures. Anticonvulsants are used prophylactically, with the 2024 Neurocritical Care Society Clinical Practice Guideline recommending levetiracetam as the preferred agent. However, no standardized dosing strategies currently exist, resulting in variability in both loading and maintenance of dose regimens across institutions and among providers. The aim of this project is to identify the most appropriate dosing strategy of levetiracetam to reduce seizure incidence in patients with TBI.

Purpose:

This project aimed to identify the most appropriate dosing strategy of …